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Evaluation And Management
Chapter 2
Section 1.1
Office
Visits
Issue Date: April 19, 1983
Copyright: CPT only © 2006 American Medical
Association (or such other date of publication of CPT).
All Rights Reserved.
Revision: C-100, August 3, 2022
1.0 CPT PROCEDURE CODES
90801, 90802, 98966
- 98968, 99201 - 99215, 99441 - 99443
3.0 POLICY
Office visits are covered when
provided by a TRICARE-authorized individual
professional provider for the diagnosis or treatment of a specific
illness or condition or set of symptoms.
3.1 Telehealth office
visits are covered when provided by a TRICARE-authorized, individual professional
provider in accordance with Chapter 7, Section 22.1.
3.2 Effective May
12, 2020, telephonic office visits (Current Procedural Terminology
(CPT) codes 98966-98968, 99441-99443, and Healthcare Common Procedure
Coding System (HCPCS) G2012) are covered when provided by a TRICARE-authorized,
individual professional provider in accordance with Chapter 7, Section 22.1.
4.0 EXCLUSION
Office visits for the purpose
of a routine physical examination, except as outlined under preventive
care.
- END -